广东省降低5岁以下儿童死亡率策略之探讨  

Discussion on Strategies to Reduce U5MR in Guangdong Province

作　　者：陈忠良[1] 郭超[2] 林少明[2] 穆荔[3] 林飞鸿[3] 卢锦春[3] 

机构地区：[1]中山医科大学流行病学教研室,510089 [2]广东省卫生厅妇幼卫生处 [3]广东省妇幼保健院

出　　处：《中国妇幼保健》1995年第2期102-104,共3页Maternal and Child Health Care of China

摘　　要：利用广东省“三率”回顾性调查资料信息,计算IMI和PDI指数,分析我省降低5岁以下儿童死亡率(U5MR)的可能性与重点。结果指出:目前我省降低USMR正处于中等硬度岩石阶段,预防的重点地区是农村,重点死因是感染性疾病,重点人群是婴儿。应用因子分析和多重回归方法,分析影响我省U5MR的主要社会性因素,结果显示:对U5MR的主要作用因子依次为:生育与经济因子、系统管理与经费因子、人员和设备投入因子和产妇育龄因子。文中还描述了肺炎、腹泻、新生儿破伤风和溺水的分布特征,分析其流行病学规律,为制订广东省降低U5MR的策略提供了依据。This paper used the data from a retrospective inestigation of U5MR in every city and county of Guangdong province in 1991. Infant mortality index children mortality index and Preventable death index were calculated, which indicated that the degree of difficulty to reduce U5MR in the province was intermediate rock and put the stress on the rural areas. Simple correlation, factor analysis and multiple linear regression technique were employed to express the relationship between social factors and U5MR. The statistically significant factors were reproductive and ecomic factor,MCH service and financial factor, MCH equipment factor,MCH Personnel factor and mat-eranl age factor. Distribution of main preventable causes of death, such as pnumonia, and diarrhoea were discussed.

关 键 词：儿童 死亡 儿童保健 

分 类 号：R179[医药卫生—妇幼卫生保健]